Savannah Anderson
Individual provider Active NPI Behavior Analyst · Saint Marys, GA
NPI 1104331552 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1104331552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-21-53069 (GA)
- Practice address
- 107 Industrial Dr Ste E
Saint Marys, GA 31558-4436 - Phone
- (904) 538-0713
- Fax
- (904) 538-0714
- NPI assigned
- Dec 7, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-30465 | ||
| Behavior Analyst | 103K00000X | 1-21-53069 | GA | Yes |
Addresses
Primary practice location
107 Industrial Dr Ste E
Saint Marys, GA 31558-4436
Mailing address
10175 Fortune Pkwy Unit 903
Jacksonville, FL 32256-6755
Phone (904) 538-0713
Other providers in Saint Marys, GA
- Akira Alston
- Altamaha DME, Inc
- Joanne Altringer
- John Michael Ambrose
- Amy K. Wood
- Anew Medical Services Group, LLC
- Arete Behavioral Health Corp
- Rylee Arnett
- Daniela Nicole Avellaneda
- Baptist Cardiology Inc
All providers in Saint Marys, GA · Behavior Analyst in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.